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461. Saving Lives and Saving Money: Hospital-Acquired Conditions Update | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/hai/pfp/2014-final.html
     January 01, 2018 - SHARE: More topics in this section Healthcare-Associated Infections Program Combating Antibiotic-Resistant Bacteria About the CUSP Method Decolonization – Universal and Targeted Tools Saving Lives and Saving Money: Hospi…

462. Mod01-Grand-Rounds-Slides (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
     April 01, 2016 - column in Elle, journalist Celia Barbour chronicled her experience having a vein nicked during arm surgery

463. Fall Prevention Toolkit (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
     January 01, 2012 - hematocrit Disease states Comorbidities, hypertension, congestive heart failure, diabetes, orthopedic surgery … of limb, or medication) __Moderate (requires suturing, steri-strips, or splinting) __Major (requires surgery

464. National Action Alliance to Advance Patient Safety Webinar Series (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/action-alliance/CMS-Aug-23-board-session.pdf
     August 22, 2023 - Effective Care Issues: • Rise in employee complaints in cardiology and cardiac surgery • Patient

465. Operating Room Procedures During Inpatient Stays, 2018 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/data/visualizations/or-procedures-inpatient.html
     June 01, 2022 - SHARE: Go to Data Visualizations Operating Room Procedures During Inpatient Stays, 2018 This interactive visualization displays the most common and most costly principal operating room (OR) procedures overall, by patient sex, and by age group. The statistics…

466. TeamSTEPPS Speciality Scenarios - Combat Care (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/CombatCare.pdf
     March 18, 2014 - The patient is resuscitated and rushed to surgery.

467. Selected Best Practices and Suggestions for Improvement (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4y_combo_nqi03-bsi-bestpractices.pdf
     May 17, 2016 - monitoring and treatment of BSIs Authority/Accountability • Senior leaders such as chief/chairs of surgery

468. Evaluation Metrics (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/evalguide/lepevalguide.pdf
     September 01, 2012 - Maria, age 20, is scheduling a knee surgery appointment for her mother, Rigoberta, a 54- year-old Guatemalan

469. TeamSTEPPS Specialty Scenarios: Ancillary Services (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/scenarios/ancillary.pdf
     March 19, 2014 - The patient is resuscitated and rushed to surgery.

470. Meeting Minutes, November 2015 | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/news/events/nac/2015-11-nac/nacmtg1115-minutes.html
     May 01, 2016 - Improper assumptions might be made (e.g., is the surgery necessary?).

471. 2018 CAHPS Clinician & Group Survey Database Chartbook (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2018_cg_cahps_chartbook.pdf
     January 01, 2018 - 68% 91% 87% 78% 88% Radiology 755 60% 84% 77% 68% 76% Rheumatology 2,975 64% 84% 79% 69% 77% Surgery

472. Specific Tools To Support Change (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/g2_combo_specifictoolstosupportchange.pdf
     January 01, 2011 - • Sentinel events: transfusion reaction, wrong blood type, wrong-site surgery, foreign body left … directly compare performance measure information related to heart attack, heart failure, pneumonia, surgery

473. Module 5: How To Measure Fall Rates and Fall Prevention Practices (doc file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module5/module5_fall-prevention.docx
     June 30, 2017 - Slide 12 SAY: NDNQI defines the fourth and fifth levels of injury as: Major: The fall resulted in surgery

474. Managing Interruptions to Improve Diagnostic Decision-Making: Strategies and Recommended Research Agenda (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/topics/managing-interruptions-improve-diagnostic-decisionmaking.pdf
     December 29, 2022 - observational study of hospital paging practices and workflow interruption among on-call junior neurological surgery

475. TeamSTEPPS® 2.0 Leadership Briefing | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
     April 01, 2017 - avoidance: Pre-op brief revealed seven patients (3.3%) with previously unidentified severe surgical risks—surgery

476. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_0.pdf
     June 01, 2015 - women moving in), and there was a decision analysis program to help them think through the type of surgery … Patients' experiences of support while waiting for cardiac surgery. a critical incident technique analysis … Patients' experiences of support while waiting for cardiac surgery. a critical incident technique analysis … how identifying factors that influence patients' experiences of support while they wait for heart surgery … hospital care, electronic prescribing of medicines, reducing the cost of hip and knee replacement surgery

477. TeamSTEPPS Module 10: Measurement (Instructor Guide) (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module10/igmeasure.pdf
     January 01, 2004 - TeamSTEPPS Module 10: Measurement (Instructor Guide) MEASUREMENT SUBSECTIONS • Measurement in TeamSTEPPS • A Model of Training Evaluation • Available Measures (Reactions, Learning, Behavior, Results) TIME: 50 minutes Slide INSTRUCTOR OUTLINE: MEASUREMENT Instructor Note…

478. Final Data From National Efforts To Make Care Safer, 2010-2014 (pdf file)
     pbrn.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
     December 01, 2016 - Final Data From National Efforts To Make Care Safer, 2010-2014 December 2016 Saving Lives and Saving Money: Hospital-Acquired Conditions Update Final Data From National Efforts To Make Care Safer, 2010-2014 Summary Final estimates for 2014 show a sustained 17 percent decline in hospital-acquired conditions…

479. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument_1.pdf
     June 01, 2015 - women moving in), and there was a decision analysis program to help them think through the type of surgery … Patients' experiences of support while waiting for cardiac surgery. a critical incident technique analysis … Patients' experiences of support while waiting for cardiac surgery. a critical incident technique analysis … how identifying factors that influence patients' experiences of support while they wait for heart surgery … hospital care, electronic prescribing of medicines, reducing the cost of hip and knee replacement surgery

480. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
     pbrn.ahrq.gov/sites/default/files/docs/page/AHRQPBRNFinalRapidCycleResearchGuidanceDocument.pdf
     June 01, 2015 - women moving in), and there was a decision analysis program to help them think through the type of surgery … Patients' experiences of support while waiting for cardiac surgery. a critical incident technique analysis … Patients' experiences of support while waiting for cardiac surgery. a critical incident technique analysis … how identifying factors that influence patients' experiences of support while they wait for heart surgery … hospital care, electronic prescribing of medicines, reducing the cost of hip and knee replacement surgery